TOM KENNEY NPI 1710070057

NPI Information

  • NPI: 1710070057
  • Provider Name: TOM KENNEY
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1405 EASTLAND DR
    BLOOMINGTON, IL
    ZIP 61701
  • Phone: (309) 661-2400

Map and Directions

Get Directions

NPI Details

Tom Kenney is a family medicine in Bloomington, IL with 41 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Tom Kenney NPI is 1710070057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1985

The provider's business location address is:

1405 EASTLAND DR
BLOOMINGTON, IL
ZIP 61701-514
Phone: (309) 661-2400
Fax: (309) 661-6226

The NPI 1710070057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Urinalysis, manual test (HCPCS:81002)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)

The enumeration date for this NPI number is 10/1/2006 and was last updated on 9/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036073299ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1961850OTHERILLINOISMEDICARE GROUP NUMBER
2C40131MEDICARE UPIN
3080177959MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR INDIVIDUAL #
4833120MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP #
5995030MEDICARE PINILLINOIS
6CA2264MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR GROUP #
7036073299MEDICAIDILLINOIS
8L90789MEDICARE ID-TYPE UNSPECIFIEDILLINOISINDIVIDUAL #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.